When educating an older adult patient about changing his dressing, the nurse would most appropriately:
be certain the patient is wearing his glasses and/or hearing aid.
wait for the patient to ask any questions about the procedure.
talk through the process rapidly to keep the patient from becoming tired.
point out each mistake during the return demonstration.
The Correct Answer is A
A. Be certain the patient is wearing his glasses and/or hearing aid. Ensuring the patient has optimal hearing and vision aids can improve comprehension and help the patient accurately learn the procedure.
B. Wait for the patient to ask any questions about the procedure. Waiting for questions might lead to gaps in understanding, as the patient may not feel comfortable initiating questions without encouragement.
C. Talk through the process rapidly to keep the patient from becoming tired. Rushing the instruction may cause the patient to miss important details, as learning may be slower in older adults.
D. Point out each mistake during the return demonstration. Correcting every error without constructive feedback can discourage the patient. It’s more effective to provide gentle guidance and support.
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Correct Answer is A
Explanation
A. Follows agency policy for correcting the error.
Following agency policy is the best approach, as it ensures compliance with legal and procedural standards for correcting documentation errors.
B. Whites out the wrong entry and writes the note in the chart of the correct patient. Whiting out errors is not permissible, as it can appear as an attempt to alter records and compromises the integrity of documentation.
C. Removes the page on which the error is located and documents the other correct notes. Removing pages from a medical record is improper and could be considered tampering with documentation.
D. Blacks out the note to protect the confidentiality of the patient about whom it was written and writes in the margin "wrong patient," his signature, and the date and time.
Blacking out notes is not allowed, as it destroys information that should remain legible, even if it was written in error.
Correct Answer is B
Explanation
A. Writing nursing care plans.
Although care plans are essential in nursing, qsen emphasizes broader competencies beyond just planning, such as teamwork and quality improvement.
B. Informatics. Informatics is a core competency highlighted by qsen to ensure nurses can use technology effectively for patient safety and care quality.
C. Familiarity with medical terms. Medical terminology is basic knowledge for nurses, but qsen emphasizes specific competencies beyond terminology.
D. Effective communication.
Effective communication is a fundamental qsen skill that enhances patient safety, teamwork, and patient-centered care.